Organization
YOGA BY PRESCRIPTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLY KUJAWA RYT200 (PRESIDENT, PROVIDER)
(954) 612-1100
Entity
Organization
Contact information
Practice address
1340 SE 4TH CT, DEERFIELD BEACH, FL 33441-4994
(954) 612-1100
Mailing address
1340 SE 4TH CT, DEERFIELD BEACH, FL 33441-4994
(954) 612-1100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
#171772
FL
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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